| NPI | 1821081126 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MD D0067661) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: WV 10260) |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2011-05-12 |